Kayser Jay, Zheng Chuxuan, Turner Skyla, Xiang Xiaoling
School of Social Work, University of Michigan, Ann Arbor, Michigan, USA.
Human Centered Design & Engineering, University of Washington, Seattle, Washington, USA.
Clin Gerontol. 2025 Jul-Sep;48(4):757-771. doi: 10.1080/07317115.2024.2440373. Epub 2024 Dec 13.
This mixed-methods study examines the acceptability, feasibility, and preliminary effect of a novel, remotely delivered group intervention (Empower@Home: Connected) targeting depression, social isolation, and loneliness in older adults (≥ 60).
Acceptability was assessed via participant satisfaction, and feasibility was measured by attrition rates and session attendance. Participants completed pre- and posttest measures of depression, social isolation, and loneliness, with depression also assessed biweekly. Post-intervention, participants completed semi-structured qualitative interviews about their experiences.
31 participants completed the intervention. The intervention had high acceptability and feasibility. Depressive symptoms significantly decreased. Reductions in loneliness and social isolation were observed but not statistically significance. Linear mixed modeling revealed a significant reduction in depressive symptoms during the intervention. Qualitative interviews highlighted participants' beliefs in the intervention's impact. They appreciated the convenience of remote delivery and valued shared experiences and emotional support from group interactions.
This uncontrolled pilot intervention was acceptable, feasible, and reduced depressive symptomatology. Future research should refine social isolation and loneliness components and explore the intervention's long-term impact.
This pilot remote group-based interventions to address depression, social isolation, and loneliness in older adults was acceptable and feasible, making it a potentially valuable option for improving mental health care.
本混合方法研究考察了一种新型的、通过远程提供的针对60岁及以上老年人抑郁、社会隔离和孤独感的团体干预措施(居家赋能:互联)的可接受性、可行性和初步效果。
通过参与者满意度评估可接受性,通过流失率和课程出勤率衡量可行性。参与者完成了抑郁、社会隔离和孤独感的前后测,抑郁情况还每两周评估一次。干预结束后,参与者完成了关于其经历的半结构化定性访谈。
31名参与者完成了干预。该干预具有较高的可接受性和可行性。抑郁症状显著减轻。孤独感和社会隔离感有所降低,但无统计学意义。线性混合模型显示干预期间抑郁症状显著减轻。定性访谈突出了参与者对干预效果的信念。他们赞赏远程提供的便利性,并重视团体互动中的共同经历和情感支持。
这种非对照的试点干预是可接受的、可行的,且减轻了抑郁症状。未来的研究应完善社会隔离和孤独感部分,并探索该干预的长期影响。
这种针对老年人抑郁、社会隔离和孤独感的试点远程团体干预是可接受且可行的,使其成为改善精神卫生保健的一个潜在有价值的选择。